Dose-dependence of chemical carcinogenicity: Biological mechanisms for thresholds and implications for risk assessment. 2019

Rebecca A Clewell, and Chad M Thompson, and Harvey J Clewell
ToxStrategies, Inc., Cary, NC, USA. Electronic address: rclewell@21stcenturytox.com.

Current regulatory practices for chemical carcinogens were established when scientific understanding of the molecular mechanisms of chemical carcinogenesis was in its infancy. Initial discovery that DNA mutation was the root of cancer led quickly to regulatory processes that assumed such a simple relationship could be described with a linear approach. This linear, no threshold approach has since become the default approach to risk assessment of chemicals with carcinogenic potential. Since then, a multitude of intrinsic processes have been identified at the molecular, cellular and organism level that work to prevent transient DNA damage from causing permanent mutations, and mutated cells from becoming cancer. Mounting evidence indicates that these protective mechanisms can prevent carcinogenesis at low doses of genotoxic chemicals, leading to non-linear dose-response. Further, a number of non-genotoxic mechanisms have demonstrated threshold-shaped dose-response for cancer outcomes. The existence of non-linear dose-response curves for both non-genotoxic and genotoxic chemical carcinogens stands in stark contrast to the default risk assessment approach that assumes low dose linearity. In this review, we highlight some of the key discoveries and technological advances that have influenced scientific understanding of chemical carcinogenesis over the last fifty years and provide case studies to demonstrate the utility of these modern technologies in providing a biologically robust evaluation of chemical dose-response for cancer risk assessment.

UI MeSH Term Description Entries
D002273 Carcinogens Substances that increase the risk of NEOPLASMS in humans or animals. Both genotoxic chemicals, which affect DNA directly, and nongenotoxic chemicals, which induce neoplasms by other mechanism, are included. Carcinogen,Oncogen,Oncogens,Tumor Initiator,Tumor Initiators,Tumor Promoter,Tumor Promoters,Initiator, Tumor,Initiators, Tumor,Promoter, Tumor,Promoters, Tumor
D004305 Dose-Response Relationship, Drug The relationship between the dose of an administered drug and the response of the organism to the drug. Dose Response Relationship, Drug,Dose-Response Relationships, Drug,Drug Dose-Response Relationship,Drug Dose-Response Relationships,Relationship, Drug Dose-Response,Relationships, Drug Dose-Response
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000818 Animals Unicellular or multicellular, heterotrophic organisms, that have sensation and the power of voluntary movement. Under the older five kingdom paradigm, Animalia was one of the kingdoms. Under the modern three domain model, Animalia represents one of the many groups in the domain EUKARYOTA. Animal,Metazoa,Animalia
D012926 Social Control, Formal Control which is exerted by the more stable organizations of society, such as established institutions and the law. They are ordinarily embodied in definite codes, usually written. Regulation,Social Control,Control, Social,Controls, Social,Formal Social Control,Formal Social Controls,Regulations,Social Controls
D018570 Risk Assessment The qualitative or quantitative estimation of the likelihood of adverse effects that may result from exposure to specified health hazards or from the absence of beneficial influences. (Last, Dictionary of Epidemiology, 1988) Assessment, Risk,Benefit-Risk Assessment,Risk Analysis,Risk-Benefit Assessment,Health Risk Assessment,Risks and Benefits,Analysis, Risk,Assessment, Benefit-Risk,Assessment, Health Risk,Assessment, Risk-Benefit,Benefit Risk Assessment,Benefit-Risk Assessments,Benefits and Risks,Health Risk Assessments,Risk Analyses,Risk Assessment, Health,Risk Assessments,Risk Benefit Assessment,Risk-Benefit Assessments

Related Publications

Rebecca A Clewell, and Chad M Thompson, and Harvey J Clewell
December 2014, Current opinion in pharmacology,
Rebecca A Clewell, and Chad M Thompson, and Harvey J Clewell
January 2009, Critical reviews in toxicology,
Rebecca A Clewell, and Chad M Thompson, and Harvey J Clewell
March 1996, Environmental health perspectives,
Rebecca A Clewell, and Chad M Thompson, and Harvey J Clewell
March 2019, Toxicology research,
Rebecca A Clewell, and Chad M Thompson, and Harvey J Clewell
April 2011, Chemical reviews,
Rebecca A Clewell, and Chad M Thompson, and Harvey J Clewell
December 1993, Regulatory toxicology and pharmacology : RTP,
Rebecca A Clewell, and Chad M Thompson, and Harvey J Clewell
January 1993, Scandinavian journal of work, environment & health,
Rebecca A Clewell, and Chad M Thompson, and Harvey J Clewell
January 1993, Toxicology and industrial health,
Rebecca A Clewell, and Chad M Thompson, and Harvey J Clewell
November 2005, Human & experimental toxicology,
Rebecca A Clewell, and Chad M Thompson, and Harvey J Clewell
January 2010, Asian Pacific journal of cancer prevention : APJCP,
Copied contents to your clipboard!